Foursome Registration Form

1Name & Address

Your Name Title

Name of Your Organization

Address

City

State

Zip

Phone ( )

Fax ( )

E-Mail Address

2Please provide the name and contact information for your golfers:

Golfer #1

Title

Company

Email

Phone

Handicap or Average Score (last five rounds)

Golfer #2

Title

Company Email

Phone

Handicap or Average Score (last five rounds)

Golfer #3

Title

Company

Email

Phone

Handicap or Average Score (last five rounds)

Golfer #4

Title

Company

Email

Phone

Handicap or Average Score (last five rounds)

3Tournament Fees

Foursome: $500Awards Dinner: $75